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Contact Information

CHELSEA PROFESSIONAL SERVICES
8031 MAIN STREET
SUITE 203
DEXTER, MI48130
 Phone: 734-475-4073
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CHELSEA PROFESSIONAL SERVICES

NPI # 1124198551
LBN Legal business name CHELSEA PROFESSIONAL SERVICES
Authorized official MICHAEL GUSHO - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/09/2006
Last updated 03/11/2026 - About 3 months ago
Identifiers
MI License # 4301059747
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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